Provider Demographics
NPI:1386459691
Name:BEHM, MEGAN MICHAL (RN, CTRS)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:MICHAL
Last Name:BEHM
Suffix:
Gender:F
Credentials:RN, CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 CRYSTAL SPRINGS AVE
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54902-6122
Mailing Address - Country:US
Mailing Address - Phone:920-203-9582
Mailing Address - Fax:
Practice Address - Street 1:1703 CRYSTAL SPRINGS AVE
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54902-6122
Practice Address - Country:US
Practice Address - Phone:920-203-9582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI171273-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse